| NPI | 1457756363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR TEDDER Regional Director Of Eyexam Of Ca 805-217-2974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 15134) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: CA 15134) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |